Comments on: Bait and switch http://www.kevinmd.com/blog/2007/09/bait-and-switch.html medical blog Sun, 22 Nov 2009 14:15:05 -0500 http://wordpress.org/?v=2.8.4 hourly 1 By: Happyman http://www.kevinmd.com/blog/2007/09/bait-and-switch.html/comment-page-1#comment-80001 Happyman Thu, 13 Sep 2007 23:42:00 +0000 http://clients.emmense.com/kevinmd/2007/09/bait-and-switch.html#comment-80001 the problem with mid-levels is that the training is so vastly different & years shorter than that of a physician, that they simply DON'T KNOW WHAT THEY DON'T KNOW, which often ultimately proves dangerous.<br/><br/>I don't quite understand the leap from giving out meds & measuring I/O's to actually PRESCRIBING meds (even narcotics). <br/><br/>If they can do that, what's with all the years of biochem, organic chem, pharmacology, physiology, residency, etc.? the problem with mid-levels is that the training is so vastly different & years shorter than that of a physician, that they simply DON’T KNOW WHAT THEY DON’T KNOW, which often ultimately proves dangerous.

I don’t quite understand the leap from giving out meds & measuring I/O’s to actually PRESCRIBING meds (even narcotics).

If they can do that, what’s with all the years of biochem, organic chem, pharmacology, physiology, residency, etc.?

]]> By: Anonymous http://www.kevinmd.com/blog/2007/09/bait-and-switch.html/comment-page-1#comment-79995 Anonymous Thu, 13 Sep 2007 21:28:00 +0000 http://clients.emmense.com/kevinmd/2007/09/bait-and-switch.html#comment-79995 I just had this happen to me.<br/><br/>I was gowned and on the table waiting for my doctor, when a NP walks in instead, and just tells me she is going to be doing the exam. Not asks me, tells me.<br/><br/>I asked if this was something new in the office? She became defensive and told me she did just what a doctor does and is the "same thing".<br/><br/>My mouth dropped, yet I was so shocked by the bait and switch that I didn't speak up. I just wondered what would the doctor think if he heard that? The same? I just had this happen to me.

I was gowned and on the table waiting for my doctor, when a NP walks in instead, and just tells me she is going to be doing the exam. Not asks me, tells me.

I asked if this was something new in the office? She became defensive and told me she did just what a doctor does and is the “same thing”.

My mouth dropped, yet I was so shocked by the bait and switch that I didn’t speak up. I just wondered what would the doctor think if he heard that? The same?

]]>